| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,569.00 | $12,734.00 | |
Cigna
| Facility | $1,326.00 | $1,326.00 | $1,326.00 | |
Medica
| Facility | $312.92 | $492.85 | $2,819.00 | |
United
| Facility | $191.00 | $853.00 | $7,957.00 |